Evidence map›Paper›PMID 33616696›Full record

ReviewIntensive care medicine2021

How the COVID-19 pandemic will change the future of critical care.

Yaseen M Arabi, Elie Azoulay, Hasan M Al-Dorzi, Jason Phua, Jorge Salluh, Alexandra Binnie, Carol Hodgson, Derek C Angus, Maurizio Cecconi, Bin Du and 14 more

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Intensive care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06033404 (Registry of Patients Undergoing Anesthesia or Intensive Care Maneuvers), which is not on this map. Cited by 118 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 1 pooled it
59.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06033404 recruitingnot on this mapstarted 2023, after this paper: background citation

Registry of Patients Undergoing Anesthesia or Intensive Care Maneuvers

Typeobservational_patient_registrySponsorUniversità Vita-Salute San RaffaeleRan2023 to 2033Enrolled30,000ConditionsAnesthesia, Critical CareArmsNormal Clinical practice
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 1 synthesis or guideline pooled it, 246 citations in OpenAlex.

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58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 14 countries.

Yaseen M ArabiIntensive Care Department, Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia. arabi@ngha.med.sa.ORCID http://orcid.org/0000-0001-5735-6241
Elie AzoulayMedical Intensive Care Unit, Saint Louis University Hospital and Paris 7 University, 1 avenue Claude Vellefaux, 75010, Paris, France.
Hasan M Al-DorziIntensive Care Department, Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
Jason PhuaFAST and Chronic Programmes, Alexandra Hospital, Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, National University Health System, Singapore, Singapore.
Jorge SalluhDepartment of Critical Care and Graduate Program in Translational Medicine, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Alexandra BinnieCritical Care Department, William Osler Health System, Etobicoke, ON, Canada.
Carol HodgsonAustralian and New Zealand Intensive Care Research Centre, Melbourne, Australia.
Derek C AngusDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Maurizio CecconiDeparment of Anaesthesia and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, Milano, Italy.
Bin DuState Key Laboratory of Complex, Severe and Rare Diseases, and Medical ICU, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Rob FowlerInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
Charles D GomersallDepartment of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
Peter HorbyCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
Nicole P JuffermansDepartment of Intensive Care, OLVG Hospital and Laboratory of Experimental Intensive Care and Anesthesiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Jozef KeseciogluDepartment of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Ruth M KleinpellVanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN, 37203, USA.
Flavia R MachadoAnesthesiology, Pain and Intensive Care Department, Federal University of São Paulo, São Paulo, Brazil.
Greg S MartinDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, Emory Critical Care Center and Grady Memorial Hospital, Atlanta, GA, USA.
Geert MeyfroidtDepartment and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Leuven, Belgium.
Andrew RhodesAdult Critical Care, St George's University Hospitals NHS Foundation Trust and St George's University of London, London, UK.
Kathryn RowanIntensive Care National Audit and Research Centre (ICNARC), Napier House, 24 High Holborn, London, WC1V 6AZ, UK.
Jean-François TimsitAP-HP, Bichat Hospital, Medical and Infectious Diseases ICU (MI2), University of Paris, IAME, INSERM, 75018, Paris, France.
Jean-Louis VincentDepartment of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.
Giuseppe CiterioSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
King Saud bin Abdulaziz University for Health Sciences · SAAlexandra Hospital · SGAzienda Ospedaliera San Gerardo · ITChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese University of Hong Kong · HKD’Or Institute for Research and Education · BRGrady Memorial Hospital · USHumanitas University · ITInserm · FRIntensive Care National Audit & Research Centre · GBKU Leuven · BESt George's, University of London · GBThe Alfred Hospital · AUUniversidade Federal de São Paulo · BRUniversité Libre de Bruxelles · BEUniversité Paris Cité · FRUniversity of Oxford · GBUniversity of Pittsburgh · USUniversity of Toronto · CAUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 19 (COVID-19) has posed unprecedented healthcare system challenges, some of which will lead to transformative change. It is obvious to healthcare workers and policymakers alike that an effective critical care surge response must be nested within the overall care delivery model. The COVID-19 pandemic has highlighted key elements of emergency preparedness. These include having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols. ICUs must also be prepared to accommodate surges of patients and ICU staffing models should allow for fluctuations in demand. Pre-existing ICU triage and end-of-life care principles should be established, implemented and updated. Daily workflow processes should be restructured to include remote connection with multidisciplinary healthcare workers and frequent communication with relatives. The pandemic has also demonstrated the benefits of digital transformation and the value of remote monitoring technologies, such as wireless monitoring. Finally, the pandemic has highlighted the value of pre-existing epidemiological registries and agile randomized controlled platform trials in generating fast, reliable data. The COVID-19 pandemic is a reminder that besides our duty to care, we are committed to improve. By meeting these challenges today, we will be able to provide better care to future patients.

Indexed as

COVID-19PandemicsCritical CareDisaster PlanningHumansIntensive Care UnitsMonitoring, PhysiologicPersonal Protective EquipmentSurge CapacityTelemedicineWorkflowCOVID-19Critical careIntensive carePandemicTechnology

Identifiers

PMID33616696
PMCPMC7898492
OpenAlexW3130328637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.